| NPI | 1396891438 |
|---|---|
| Doing Business As | DEROSA PHARMACY AND HOME HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | PURNIMA SHAH Owner 973-482-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00312200) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28RS00312200) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NJ 28RS00312200) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-11-28 |